HomeMy WebLinkAboutBuilding 02-0379
C\\'l Of pRIOR LAKE
INSPEC,\ott ttOIlCE.
SC\-\EOULEO
31~~ ------
-----------
/>.OORESS ~~Il
~
OWHER ----------------
____ pERM\" HO.
I'\-\O~€. NO. .--------- -.
o PLUt/l61t-1G R\
o f001\NG 0 fl,EC\"l R\
o fOUNO",,\OH 0 W",1ER HooKUP
[1 fR/>.t/I\NG [1 SEweR \"lOOKUP
o \NSULA lION [1 pLU,^6\NG F\N",L
ORN~ N
o SRE \~SPEC"O~ 0 ..EC" F\ 'L
k
-------.-
------"-----------
COtt,R.
~.~
o EjJGR/>.OIFlLLlNG
[1 CONlpLA\tt1
o fIREPLACE R\
[1 f\REpLACE. f\~P.L
o G",SLlNE ",\R 15\
o =------------
------._-----------------~
.
COt/lt/lEN1S:
--------~::~===------===
.//--=---------=
-----~ ----
)
.//-/................------/.....-----
------
~--~~..---
-------------- ----
o WOR~ ""Sf 'C1 OR'. PROCEED
I C \ON ",tlO pROCEEO
o CORREC C,LL fO" RE\llSPEC"O~ BEfORE CO"ER\~G
o CORREO
/__.~ ._ """"Coo". _.--.//~/
IOW'oI" " ~CE
<C 0" ,"E ~E'" \~SPEC"O~ 2' "OURS ,ll ,0' .
C,,-L" "O.'~/ .
~. I "",,1."'" &sAfE1Y1
c.,c"'TS ;\HI' fOR yoUR PERSONA -
CODE REQVIRlOjU~I" '
'/'lSf'lOlI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
Date Rec' d
3-2-6-02-
White File
Pink City
Yellow Applicant
I PERMIT NO.02--0377 I
PD, .-T
12 r-I.
LOT 15' BLOCK '-l ADDITION Gc... t-€. W
PID ~ <)- CYll - 0 ? ()
OWNER
(Name) I~ 'AL .,
(Address)
ZONING (office use)
{2tsD
1\.-'1 i /~ S <t-..,.. ( (
/L~O
(Phone) C;5-;;" - 'I "(1- "'7 y ?
BUILDER
(N ame)
~o ;: ~I
X..--L.
(Phone)
(Phone)
6 '''1< #'h- YJJ t~
7~ ~ '-<!'"L-r--'107">
0/z - 757 - IY7CJ u-t.'
(Contact Name)
(Address) q ~
tu ' /2-(;::-'''''',0 JJ ~ ( I~""" 6
TV 1) 1 ) {/.,! 'rJ-LO '--I L-
11r1 tf-b ,i...(;: l-( -,..,. [.,,,... i......
-
I .
,~~ "'4:
TYPE OF WORK
ORe-Siding
ODeck
o Porch
ORe-Roofing
o New Construction
o Fireplace
[lAddition
[.gAlteration
o Misc.
o Lower Level Finish
PROJECT COST/VALUE (excluding land) $ /t:!C, /'IlL'
,
OUtility Connection
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans, I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon~~ to~er:o~m need~~specti~ns /, U t"; 4
X ~.L---k.t--t rV _~40 --- L~ f- 3/.)..c / t' '--
Signature ~--.Contractor's License No. , Date I
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
#
#
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
q
TOTAL DUE
$
$
$
$
$
$
$
$
$
I ~';Jt:
4/'114-
our Building Permit When Approved
Y~2-0L-
I Paid /~Z-r, 6 Cj
. Date 4" - /l3vVZ--
Date
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed y the Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. _~(&2_ _ ~ g~ r~
Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 5'5372
~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ::n ~~~. I PERMIT NO. ~- r1~1
3. Yellow Applicant , ~ I' I-J _
72d
ZONING (office use)
Sf)
LEGAL DESCRIPTION (office use only)
LOT :S;LOCK ADDITION
SIt~
PID
OWNER
(Name) --.T tJ R tt1lVlP()d~
(Phone) ~ 11- I S-C; I '-I 7 9
(Address)
APPLICANT
(Name) ~..l__~~ ~J1fct-N<<~'C-
(Address) t.f 3 '7 (. i3 9a)Ybtt tr/HL ~
(Address)
bf/J"N CS
(Phone) 9~2
tMltfll/5
(City)
fl~ 1s-sD
,)5 ?i(3
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
APPLICANT PLEASE C PLETE BELOW
DNEW CONSTRUCTION LACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
.., /)
FLUE SIZE ~ P tI L- RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
DWarm Air Plants
OGravity
IZ Mechanical
DAir Condition~ ) Held-tV.
~ent. System to 1Je..-U
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
] % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39.50
Residential. Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
$39,50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~. 9~ 50
.50
Lie; .0U
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
3'/D
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
,,'P!I13^ eq lOU 1I134s UO!P!pspn[ e4l JO SeOU13U!pJO
Ja4l0 JO apo:::> S!4l JO SUO!S!^OJd a4l la:::>u13:::> JO al13IO!^ ol ^'lP04ln13 a^!6 Ol 6u!wnsaJd
Sl!wJad 'UO!p!pspn[ a4l JO a:::>u13U!pJO .Je4l0 ^,U13 JO .JO apo:::> S!4l JO SUO!S!^OJd a4l JO ^,U13
JO UO!lBIO!^ AUB '!O IB^OJddB UB JO 'JO! l!WJad B aq Ol panJlSUO:::> aq lOU IIBljS SUOllBlndwo:::>
pUB SUO!lB:::>!J!:::>ads 'SU13ld !O 113^OJddB .JO l!WJad 13 !O 6UllUBJ6 .JO a:::>UBnSS! aLlJ."
zQ/17/ n
:alBO
:SlU WWOO
}?-,;- ~ -'->7'V :A8 paMa!Aal::l
pa!uao
SUO!l:::>aJJOO ljl!M palda:::>:::>V'
~1
palda:::>:::>V'
/,
'; 1/
-l''''/ . f'
.1/
; ,
:lB pasodoJd S! lj:::>!ljM ^'l!^!PB UO!pnJlSUO:::> .JO! UO!lB:::>!lddB
l!WJad 6u!pl!nq aljl paMa!^aJ a^BLI SlUaWl-lBdao 6U!UUBld pUB '6upaau!6u3 '6u!PI!ns aljl.
~l 2:;
/ ./. '77'
'-.
03^1383H NOIJ.V'8IlddV'
,
fl'
--; / J''/ /-~.'.} .'
, >~-_.
l.NV'OllddV' ,:jO 3V\1V'N
l.SI1)1:l3H:l l.N3Wl.t:lVd30 NOll.V:ll1ddV 1.1Wt:l3d ~NI01In8
6U!UUeld - )fU!d
6u!Jaau!6u3 - AJeueo
6u!PI!"a - al!4M
,uauno.) ~""l ;II". JO J,)IU.J.) "'....l
.,.
White - Building
Canary - Engineering
Pink - Planning
Thr Cfnler of 'he Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .;: W. (26/1 () 06- U NCJ
APPLICATION RECEIVED ..3 - 2-8 -() L
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/--54-/0
,
tJl26E;- ~
PI 120.
Accepted
Accepted With Corrections
)(
Denied ~
Reviewed ByG
Comments:
No Occ.uPCM^C~ dUt'M'0
11 f\ Cav.~~l'uc.ttOl"\. \kJ1
Date: k\ l-OL-.
(' ~ .\. NlC t-\"'CIVt
M~+- 4.k ~a:>(')
e~~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For ..All Properties Located in the Shoreland District (SD).
uJ.e ivlax.imum Impervious Surface Coverage Permitted in 30 Percent.
Property Address / _~ ~/O
g.eb~"Z"Y /ZA/r
124.0 > ~/OA2 L4~
, ,
Lot Area /.J ~fdt:, Sq. Feet X 30% :=: .............. ~/Oh
***********~*~*************.***************~***********~****************
LENGTH WIDTH SQ. FEET
HOUSE '-/ L-/, Z. x ~.3.~ ==
/0 4/7
/. "7 x 2h.~ == ~.s-
ATIACHED GARAGE x ::::
TOTAL PRINCrPLE STRUCTURE......................
/092
DETACHED BLDGS
(Garage/Shed)
x
X
TOTAL DET ACKED BU1LDL'lGS.......................
DRNEWAYIPAVED AREAS ~hAuU<?K? X
/~~cp fOri' '-J ...r",..:.d '" uot) t:/2/2h&,U,-",/2 X
e-Nr'p/.~ :5T.lf?PP 4: ~E-'P5 - --- -- -
,I (~ldewall<fParklOg Are3..S) X
::=
::=
/IZh
97
::=
TOT AL PAVED AREAS.............................. ...........
/2Z'~
P A TIOSfPORCHESfDECKS
X
==
(Open Dccx.s '1.- lrotn. o;Jening bCC\ll~n
tca.ris. with a pc;;,,/ious su6c~ bc:::ow.
arc not considered [0 b~ impervious)
X
==
x
=:
TOT..\L DE CKS. ......... ........._...~.._._..........._.........
OTtiCR
x
X
=
==
TOT A.L OTHER...............-.---._..................-......
::::~:~j~L#~
6~.c.- L,~RW6'U
Company .::\4A1~'S R /.h~.; he,
[ 23/5
r /'79 L
Date ~~z
TOTALINWERVIOUSSL~ACE
Phone # 7'::;-2 - 89c -~4~
01/28/1995 01:07
9528947972
LAKESIDE PLBG
PAGE 01
'.
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
} ~~.. ~~Ii""' [PERMIT NO';2- 3 '79 l
-Ro~
ZONrNG (office use)
LEGAL DESCRIPTION (office Use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) --r: LLJ.f1vrnlJrh lviu.tJ~ l!.Jlk. J~ m.d . J;..If-"/.
. . {/[J ~
(Address)
(phone)
APPLICANT
(Name)
~KFSIDE PLBG. & HTG., INC.
124o'::i 2tn" an Ave.
Snva'~e. ...Ii-..l 55378
(Address)
. r.1tt-i.L- M iL{ .JS
(Phone) g!5.~ - FrfV- ? r;,,(P
(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity . Type of Fixture
J Bath Tub with or withoqt shower Rough~ins
Dishwasher Water Heater ~u+ If hi ~/~.-u w7
Floor Drain Water Softner .. v
2-- Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
J Shower Stall - 1511$ ..L Backflow Assembly
Sinks Backflow Assembly Test
BIU' Sink Lawn Spdnkler
I Water: Closet (Toilet) Other
. APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commc:rci81 & MUlti-family 1% of job cost with II $39.50 minimum Residentia), Nc:w One & TWO-Farni~Y
. Residential. Additions & Alteration $39.50"
.ot-//,,- ) C/(J ,
Estimated Cost $. --.....I"7'~ Building Pennit # .
. PLUMBING PERMIT FEE $ ~~ 71...rO
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ V 0 <?CJ
This Application Becomes Your Building Permit When Apprond
,,-.
,..../ . f"':.iD tt'/'TH
rc,J J' ,.., r\ , . I
. .....,.I\1G r>-.... ..
_u__ '--.. ~~ ~'~, r
(... '
(ome~ U$~ Orlly)
Paid
.Re~~jpt No.
:aullding Offi\:ial
bate
Date
. .
24 hour notice for alllnapectlon. (952) 447-9850.-r81l: ('51) 447-4245
P R I 0 R L - ..J~PARTMENT OF
k 1It..~ BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS -1S4/D ~r-~e.~ CPt. ,(2d
NATURE OF WORK d.~J f:loor- 'A&dlf).
USE OF BUILDING .5F~
PERMIT NO. 07- -0-.)71 DATE ISSUED -=!-';).-ro
CONTRACTOR .:r.W. R~~ PHONE C.l2.-')cfi-tQ'}i
NOTE: THIS IS NOT A PERMIT FO ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) (r; () 0
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I_-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING 'VVW ~- 7-{f1.,
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE.
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850